摘要
Objective: The aims of this study were: (i) to determine whether the severity of post-hemiplegic shoulder subluxation in stroke patients correlates with soft-tissue injury; and (ii) to determine the shoulder subluxation measurement cutoff points that are indications for further ultrasound examination for soft-tissue injuries in these patients. Design: Cross-sectional study. Patients: A total of 39 stroke patients with shoulder subluxation. Methods: Shoulder subluxation was evaluated by physical examination, radiography and ultrasound. Soft-tissue injuries were assessed by ultrasound. Subluxation parameters were entered into stepwise logistic regression analyses to predict biceps and supraspinatus tendonitis. With the assumption that shoulder subluxation can be a predisposing factor for tendonitis, receiver operating characteristic curves for shoulder subluxation parameters of the affected side were used to determine cut-off points for optimal sensitivity and specificity of biceps and supraspinatus tendonitis. Results: Shoulder subluxation lateral distance, measured by physical examination, is a predictor for supraspinatus tendonitis (odds ratio = 34.9, p = 0.036). Further ultrasound investigation for soft-tissue injury is indicated when subluxation lateral distance, measured by physical examination is ≥ 2.25 cm or, measured by radiographic examination, ≥ 3.18 cm for lateral distance, ≥ 3.08 cm for vertical distance, or ≥ 2.65 cm for horizontal distance. Conclusion: When post-hemiplegic shoulder subluxation measurements exceed the above-mentioned cut-off points in physical or radiographic examinations, further ultrasound evaluation for soft-tissue injury is recommended.
| 原文 | 英語 |
|---|---|
| 頁（從 - 到） | 733-739 |
| 頁數 | 7 |
| 期刊 | Journal of Rehabilitation Medicine |
| 卷 | 44 |
| 發行號 | 9 |
| DOIs | |
| 出版狀態 | 已發佈 - 2012 |
| 對外發佈 | Yes |
指紋
ASJC Scopus subject areas
- Rehabilitation
- Physical Therapy, Sports Therapy and Rehabilitation
- Medicine(all)
引用此文
Relati onship between severity of shoulder subluxati on and soft-tisue injury in hemiplegic stroke patients. / Huang, Shih Wei; Liu, Sen Yung; Tang, Hao We; Wei, Ta Sen; Wang, Wei Te; Yang, Chao Pin.
於: Journal of Rehabilitation Medicine, 卷 44, 編號 9, 2012, p. 733-739.研究成果: 雜誌貢獻 › 文章
}
TY - JOUR
T1 - Relati onship between severity of shoulder subluxati on and soft-tisue injury in hemiplegic stroke patients
AU - Huang, Shih Wei
AU - Liu, Sen Yung
AU - Tang, Hao We
AU - Wei, Ta Sen
AU - Wang, Wei Te
AU - Yang, Chao Pin
PY - 2012
Y1 - 2012
N2 - Objective: The aims of this study were: (i) to determine whether the severity of post-hemiplegic shoulder subluxation in stroke patients correlates with soft-tissue injury; and (ii) to determine the shoulder subluxation measurement cutoff points that are indications for further ultrasound examination for soft-tissue injuries in these patients. Design: Cross-sectional study. Patients: A total of 39 stroke patients with shoulder subluxation. Methods: Shoulder subluxation was evaluated by physical examination, radiography and ultrasound. Soft-tissue injuries were assessed by ultrasound. Subluxation parameters were entered into stepwise logistic regression analyses to predict biceps and supraspinatus tendonitis. With the assumption that shoulder subluxation can be a predisposing factor for tendonitis, receiver operating characteristic curves for shoulder subluxation parameters of the affected side were used to determine cut-off points for optimal sensitivity and specificity of biceps and supraspinatus tendonitis. Results: Shoulder subluxation lateral distance, measured by physical examination, is a predictor for supraspinatus tendonitis (odds ratio = 34.9, p = 0.036). Further ultrasound investigation for soft-tissue injury is indicated when subluxation lateral distance, measured by physical examination is ≥ 2.25 cm or, measured by radiographic examination, ≥ 3.18 cm for lateral distance, ≥ 3.08 cm for vertical distance, or ≥ 2.65 cm for horizontal distance. Conclusion: When post-hemiplegic shoulder subluxation measurements exceed the above-mentioned cut-off points in physical or radiographic examinations, further ultrasound evaluation for soft-tissue injury is recommended.
AB - Objective: The aims of this study were: (i) to determine whether the severity of post-hemiplegic shoulder subluxation in stroke patients correlates with soft-tissue injury; and (ii) to determine the shoulder subluxation measurement cutoff points that are indications for further ultrasound examination for soft-tissue injuries in these patients. Design: Cross-sectional study. Patients: A total of 39 stroke patients with shoulder subluxation. Methods: Shoulder subluxation was evaluated by physical examination, radiography and ultrasound. Soft-tissue injuries were assessed by ultrasound. Subluxation parameters were entered into stepwise logistic regression analyses to predict biceps and supraspinatus tendonitis. With the assumption that shoulder subluxation can be a predisposing factor for tendonitis, receiver operating characteristic curves for shoulder subluxation parameters of the affected side were used to determine cut-off points for optimal sensitivity and specificity of biceps and supraspinatus tendonitis. Results: Shoulder subluxation lateral distance, measured by physical examination, is a predictor for supraspinatus tendonitis (odds ratio = 34.9, p = 0.036). Further ultrasound investigation for soft-tissue injury is indicated when subluxation lateral distance, measured by physical examination is ≥ 2.25 cm or, measured by radiographic examination, ≥ 3.18 cm for lateral distance, ≥ 3.08 cm for vertical distance, or ≥ 2.65 cm for horizontal distance. Conclusion: When post-hemiplegic shoulder subluxation measurements exceed the above-mentioned cut-off points in physical or radiographic examinations, further ultrasound evaluation for soft-tissue injury is recommended.
KW - Radiograph
KW - Shoulder subluxation
KW - Soft-tissue injuries
KW - Stroke
KW - Tendonitis
KW - Ultrasound
UR - http://www.scopus.com/inward/record.url?scp=84866045134&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84866045134&partnerID=8YFLogxK
U2 - 10.2340/16501977-1026
DO - 10.2340/16501977-1026
M3 - Article
C2 - 22854896
AN - SCOPUS:84866045134
VL - 44
SP - 733
EP - 739
JO - Journal of Rehabilitation Medicine
JF - Journal of Rehabilitation Medicine
SN - 1650-1977
IS - 9
ER -